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This chapter provides a detailed account of the first days of the outbreak, revealing the bureaucratic responses of the public health service, and shows that the earliest cases of the outbreak originated from Hospital 20, which was located in the southeast section of Chkalovskiy. It notes that it was the autopsy of the third case, where massive internal hemorrhaging was found, which sounded the alarm, and then studies the “military approach” to the disease and its three goals. The interview with Dr. Arensky reveals that a public health response to the 1979 outbreak was already in place when...

This chapter provides a detailed account of the first days of the outbreak, revealing the bureaucratic responses of the public health service, and shows that the earliest cases of the outbreak originated from Hospital 20, which was located in the southeast section of Chkalovskiy. It notes that it was the autopsy of the third case, where massive internal hemorrhaging was found, which sounded the alarm, and then studies the “military approach” to the disease and its three goals. The interview with Dr. Arensky reveals that a public health response to the 1979 outbreak was already in place when the Moscow visitors arrived. The chapter then relates the search for the births, marriages, and deaths registers in the three different levels of the local bureaucracy.